HomeMy WebLinkAbout08-10-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
WOLFORD T D
351 HITE HOLLOW ROAD
HYNDMAN, PA 15545
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ESTATE INFORMATION: ssN: 214-28-ss3a
FILE NUMBER: 2109-0319
DECEDENT NAME: HITE KENNETH D
DATE OF PAYMENT: 08/ 10/2009
POSTMARK DATE: 08/08/2009
couNTY: CUMBERLAND
DATE OF DEATH: 1 1 /23/2008
REMARKS:
SEAL
CHECK# 2065
REV-1162 EX(11-961
N0. CD 01 1589
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09118519 ~ 5566.40
TOTAL AMOUNT PAID:
5566.40
INITIALS: CJ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TA~r~j1,~r~V,~
INHERITANCE TAX DIVISION
PO BOX 280601 , , _, ^. , ,_ , , ,
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
~'1r f ~ ~,~i:J~T
351 HITE HOLLOW RD
HYNDMAN PA 15545
REV-1607 EX AFP (12-OB)
DATE 07-20-2009
ESTATE OF RITE KENNETH D
DATE OF DEATH 11-23-2008
FILE NUMBER 21 09-0319
COUNTY CUMBERLAND
ACN 09118519
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your a~count, submit the upper portion of this form with your tax payment.
_ -_.- - -
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PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address
printed on the reverse side.
If payment if for a RESIDENT DECEDENT, make check or money order payable to:
Register of Wills, A.gegt
If payment if for a NON-RESIDENT DECEDENT, make check or money order payable to:
Cororoonwealt6 of Pengsylvagia
Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the
appropriate county, or the issuance of an Orphan's Court citation.
REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an
"Application for Refund of Pennsylvania Inheritance and Estate Tax" CREY-1313). Applications are available
online at www.revenue.state.pa.us, any Register of Wills or Revenue District Office, or from the Department's
24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or
speaking needs: 1-800-447-3020 CTT only).
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